Stark, Nancy N
Stark, Nancy N is an individual health care provider with primary practice located at 6333 Telegraph Ave , Oakland CA 94609-1359. She recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Stark, Nancy N can be contacted via phone (510) 923-1099.Contact Information
Primary practice address
6333 Telegraph Ave
Oakland CA 94609-1359
Phone: (510) 923-1099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | 10258 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 10258 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 10258 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 518409 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 10258 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 184455 | Massachusetts |
Profile Details
| NPI number | 1659483071 |
|---|---|
| LBN Legal business name | Stark, Nancy N |
| Credentials | RN, ANP, PMHNP, APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659483071 | NPPES |
| California | Other | 35515 | UCSF PROVIDER NUMBER |
| California | MEDICAID | 201102900B | UCSF PROVIDER NUMBER |
| California | Other | 077834 | UCSF PROVIDER NUMBER |
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